Child-Oriented Family Nursing Intervention Process in a Single-Encounter Setting

以兒童為導向之家庭護理單次介入處置過程

洪昭安(Chao-An Hung)；蕭淑貞(Shu-Jen Shiau)；黃瑞媛(Jui-Yuan Huang)

兒童為導向 ； 單次介入 ； 家庭護理處置 ； child-oriented ； single encounter ； family nursing intervention

The Journal of Nursing Research

17卷2期（2009 / 06 / 01）

120 - 127

英文

本研究目的在發展以兒童為導向的家庭護理單次介入過程所應用的護理處置技巧。個案源自於蕭等人之長期研究，以北部某醫學中心的重度精神病房，患有精神分裂症或躁鬱症之病患，出院後與其配偶（或主要照護者）以及小孩同住。針對每位個案的家庭，徵得同意以現場錄音，藉由研究者以護理人員身份單次介入之訪談進行護理處置，分析內容整理及歸類，撰寫為敘述體過程記錄。研究結果顯示，家庭護理介入處置技巧可以歸納為三階段的主要類目，包括建構、問題導向及希望橋樑。本研究的獨特性在於以兒童為導向並且為單次介入的家庭護理處置。對於現今忙碌的現代社會，重視成本效益的醫療環境且多為核心家庭結構，提供個案此種可負擔且可行的服務是必要的。

The purpose of this study was to develop nursing intervention skills emerging from the process of single-encounter child-oriented family nursing. This study was a part of a long-term research project by Shiau, conducted from 1990. The participants chosen for this study were patients with schizophrenia or mood disorders from an acute psychiatric ward of a medical center in Taipei. They lived with their spouses (or primary caregiver) and children after being discharged from that medical center. Each nursing intervention program for each family was arranged beforehand. The data of the family nursing intervention process with interview were tape-recorded and transcribed into narrative form and analyzed by content analysis. Results showed that family nursing intervention skills could be categorized into three stages: construction, problem oriented, and hope bridge. The unique point of the family nursing intervention in this study was its child orientation in the context of a single encounter. Providing such an affordable and accessible service for clients is necessary in modern society typified by busy lifestyles, nuclear family structures, and the dominance of cost-effectiveness in medical care delivery.

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1. 蕭淑貞,黃耀輝,陳慧玲,李依玲,李世凱,蕭淑貞,黃耀輝,陳慧玲,李依玲,李世凱(2017)。詮釋社區精神衛生護理實務能力於病人及家庭之照護。精神衛生護理雜誌，12(1)，47-58。
2. 蕭淑貞,李佳靜,李依玲(2021)。由文獻回顧對蕭氏「情境家庭護理理論」之評值。精神衛生護理雜誌，16(3)，6-14。